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The Curbsiders Internal Medicine Podcast

REBOOT #326 NephMadness 2022: Cardiorenal Syndrome

Aug 19, 2024
Join kidney specialist Dr. Joel Topf, known for his nephrology expertise, and heart specialist Dr. Sadiya Khan, who focuses on cardiovascular health, as they dive into the complexities of cardiorenal syndrome. They discuss managing the 'creatinine bump' during treatment, explore the use of SGLT-2 inhibitors, and tackle the challenges of diuretic resistance. Their insights on monitoring cardiac biomarkers in chronic kidney disease patients add depth, emphasizing the intertwined nature of heart and kidney health.
55:36

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Quick takeaways

  • Understanding the interdependent relationship between heart and kidney function is crucial in diagnosing and managing cardiorenal syndrome effectively.
  • Managing elevated creatinine levels during acute heart failure treatment requires a focus on volume status rather than prematurely altering effective medications.

Deep dives

Understanding Cardiorenal Syndrome

Cardiorenal syndrome is a medical condition that describes the interdependent relationship between heart and kidney function. When heart function is impaired, the risk of worsening renal function increases, and conversely, chronic kidney disease can exacerbate heart failure. The condition is classified into five types, with most hospital cases falling under type 1, where acute heart dysfunction leads to kidney issues. A comprehensive understanding of these dynamics is crucial for effectively diagnosing and managing patients presenting with symptoms of this syndrome.

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